Individual provider · Type 1 NPI

Koda McCarthy

Student in an Organized Health Care Education/Training Program · Cincinnati, OH

NPI number 1629850581 Active

Practice location

2203 Fulton Ave
Cincinnati, OH 45206-2504

Call (513) 961-4663 Map

Fax (513) 961-4681

Mailing address

2087 Bellglade Ter
Cincinnati, OH 45238-1809

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629850581

Koda McCarthy's National Provider Identifier is 1629850581, issued on Oct 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cincinnati, OH. The record was last updated on Sep 18, 2026.